Organization Active NPI

Jeffrey Muroff DPM PC

  • Foot Surgery Podiatrist
  • Ronkonkoma, NY
National Provider Identifier
1811166556
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
005902 Issued in NY
Legal business name
JEFFREY MUROFF DPM PC
Practice address
500 Portion Rd
Suite 1
Ronkonkoma, NY 11779-4587
Phone
(631) 588-0888
Fax
(631) 588-1193
NPI assigned
Feb 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jeffrey Muroff, DPMNPI 1932199973
Title
President
Phone
(631) 588-0888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X 005902 NY Primary
Durable Medical Equipment & Medical Supplies 332B00000X 005902 NY

Addresses

Primary practice location

500 Portion Rd
Suite 1
Ronkonkoma, NY 11779-4587

Mailing address

500 Portion Rd
Suite 1
Ronkonkoma, NY 11779-4587
Phone (631) 588-0888

Other identifiers 1

IdentifierTypeStateIssuer
02526938MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930054472 NY DME Supplier - Physician - Podiatry 5496964363 Practice locations: Ronkonkoma, NY

National Provider Directory

National Provider Directory

Locations

500 Portion Rd
Ste 1
Ronkonkoma, NY 11779
Phone (631) 588-0888

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467158400000",
    "number": "1811166556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PORTION RD",
            "address_2": "SUITE 1",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117794587",
            "telephone_number": "631-588-0888",
            "fax_number": "631-588-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PORTION RD",
            "address_2": "SUITE 1",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117794587",
            "telephone_number": "631-588-0888",
            "fax_number": "631-588-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY MUROFF DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2016-06-29",
        "status": "A",
        "authorized_official_last_name": "MUROFF",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-588-0888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "005902",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "005902",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02526938",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronkonkoma, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.